CGFNS的几道自测题-看看你能答对多少

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Unit 1
1. A patient on the psychiatric unit tells the nurse that people want to infect him with AIDS because he has the secret to preventing famine in the world. Which of these comments, if made by the nurse, would be therapeutic?
A. "Tell me more about this."
B. "When did you start believing this?"
C. "I know that idea seems real to you, don't see it that way.
D. “I can't imagine anyone mean enough to want to prevent you from improving food supply.”
2. Which of these goals would be most important for a female patient who has a borderline personality disorder while the patient is in group therapy?
A. The patient will be able to explain the motivation for her behavior
B. The patient will select her own activities
C. The patient will interact with more people
D. The patient will consider consequences before acting
3. To discuss methods of stress reduction with a patient, the nurse should use which of these approaches first?
A. Explain to the patient the physiological effects of stress
B. Teach the patient relaxation techniques that reduce stress
C. Determine if the patient is able to identify sources of stress
D. Describe to the patient the benefits of active exercise in coping with stress
4. A woman who is thirty weeks pregnant and who is attending the prenatal clinic has symptoms of pregnancy-induced hypertension. Which of these findings is indicative of this problem?
A. She says, "I've been getting short of breath when I climb the second flight of stairs to my family' s apartment."
B. She says, "I've had a craving for salty food lately."
C. She has a blood pressure of 124/80mmHg compared with 90/60mmHg a month ago
D. She has gained three pounds( 1.4kg) during the past month
5. During the fourth stage of labor, the nurse notes that the patient's uterine fundus is boggy and in the midline. Which of these actions should the nurse take first?
A. Massage the patient's uterine fundus
B. Apply downward pressure to the patient's uterine fundus while she is voiding
C. Discuss with the physician the patient's need for an oxytocic medication
D. Check the characteristics of the patient's lochia
6. A patient has just been hospitalized for treatment of compulsive hand washing. The nurse should intervene if staff members are seen behaving in which of these ways?
A. Whispering to one another within the patient's view
B. Suddenly changing the patient's routine
C. Turning away from the patient
D. Touching the patient
7. Which of these goals would be appropriate for a patient who has a diagnosis of Alzheimer' s disease?
A. To develop social skills
B. To increase motivation for serf-care
C. To keep oriented to reality
D. To protect from injury
8. A patient has + + + + of albumin in his urine. The nurse should expect that he might have which of these symptoms?

A. Pulmonary rales
B. Distended neck veins
C. Muffled heart sounds
D. Peripheral edema

9. A patient is scheduled for an intravenous pyelogram (IVP). Which of these assessments of the patient would be most important to make prior to this scheduled IVP?
A. Does he have a history of allergies?
B. Does a member of his family have renal disease?
C. Is his bladder distended?
D. What was his recent food intake?
10. A client returns from a cardiac catheterization with a bandage over the right groin. An unlicensed personnel (UP) assigned to the client reports that the client’s right foot is cool to the touch. The first action of the nurse should be to
A. check the foot every 15 minutes.
B. call the provider and report the findings.
C. loosen the bandage.
D. check the client’s groin.

Unit 1 Answers:
C D C C A / B C D A A